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2661. Medical Failure-to-Rescue Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/silber-report.pdf
      January 01, 2025 - Medical Failure-to-Rescue Final Report Medical Failure-to-Rescue Final Report November 13, 2018 Principal Investigator: Jeffrey H. Silber, MD, PhD1,2,3,4,5 Co-investigators: Paul R. Rosenbaum, Ph.D5,6 Patrick S. Romano, MD, MPH7 Project Manager: Bijan A. Niknam, BS1 Orit Even-Shoshan, MS1,5 Senior Statis…

2662. Final Progress Report: Cultural Competency and African Women’s Health Services (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/carroll-report.pdf
      January 01, 2024 - Final Progress Report: Cultural Competency and African Women’s Health Services Title (revised): Cultural Competency and African Women’s Health Services Original title: Cultural Competency and Maternal Health in African Women Principal Investigator: Jennifer Carroll, MD, MPH Team Members: Ronald Epstein, MD; Kevin …

2663. Mutual Support: Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support.pptx
      July 01, 2023 - Mutual Support: Obstetric Hemorrhage - PowerPoint Presentation Mutual Support Obstetric Hemorrhage Module 5 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 5 of the SPPC-II Teamwork Toolkit. In this module, we will discuss the different facets of mutua…

2664. Mutual Support: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support-speaker-notes.pdf
      July 01, 2023 - Mutual Support: Obstetric Hemorrhage SPPC‐II Toolkit                                                               Hospital AIM Team Leads SPPC II Mutual  Support Obstetric  Hemorrhage Module 5 of 8 ‐ SCRIPT Welcome to Module 5 of the SPPC‐II Teamwork Toolkit. In this module, we will discuss the diffe…

2665. The Prevalence of Mental Health Conditions Was on the Rise Before the COVID-19 Pandemic and the Pandemic Had a Negative Effect on Mental Health (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-mental-health-data-spotlight.pdf
      July 01, 2024 - The Prevalence of Mental Health Conditions Was on the Rise Before the COVID-19 Pandemic and the Pandemic Had a Negative Effect on Mental Health The Prevalence of Mental Health Conditions Was on the Rise Before the COVID-19 Pandemic and the Pandemic Had a Negative Effect on Mental Health 1 Mental health issues…

2666. Burnout in Primary Care: Assessing and Addressing it in Your Practice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/burnout-in-primary-care.pdf
      February 01, 2023 - Burnout in Primary Care: Assessing and Addressing it in Your Practice 1 NATIONAL CENTER FOR EXCELLENCE IN PRIMARY CARE RESEARCH BURNOUT IN PRIMARY CARE ASSESSING AND ADDRESSING IT IN YOUR PRACTICE Burnout is a serious and growing problem in primary care practices. Burnout is a workplace-based condition where p…

2667. Final Progress Report: Improving patient and clinician safety during COVID-19 through a rapidly adaptive simulation intervention (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/evans-report.pdf
      January 01, 2024 - Final Progress Report: Improving patient and clinician safety during COVID-19 through a rapidly adaptive simulation intervention TITLE PAGE Improving patient and clinician safety during COVID-19 through a rapidly adaptive simulation intervention Principal Investigator: Leigh V. Evans, MD Team Members: Ambrose H.…

2668. The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
      January 01, 2005 - The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care 247 The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care Kimberly A. Galt, Ann M. Rule, Wendy Taylor, Mark Siracuse, J.D. Bramble, Eugene C. Rich, Wayne Young, Bartholomew Clark, Bruce Hough…

2669. Using Data Mining to Predict Errors in Chronic Disease Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-McCabe_39.pdf
      March 28, 2008 - Using Data Mining to Predict Errors in Chronic Disease Care Using Data Mining to Predict Errors in Chronic Disease Care Ryan M. McCabe; Gediminas Adomavicius, PhD; Paul E. Johnson, PhD; Gregory Ramsey; Emily Rund; William A. Rush, PhD; Patrick J. O’Connor, MD, MPH; JoAnn Sperl-Hillen, MD Abstract Develop…

2670. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-guide.pdf
      July 01, 2022 - Getting Started � Patient safety and risk management staff engaged.

2671. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
      July 01, 2022 - Getting Started � Patient safety and risk management staff engaged.

2672. Chartbook on Healthy Living: National Healthcare Quality and Disparities Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pdf
      January 01, 2020 - Chartbook on Healthy Living: National Healthcare Quality and Disparities Report CHARTBOOK ON HEALTHY LIVING National Healthcare Quality and Disparities Report Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov http:www.ahrq.gov This document is in the p…

2673. Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
      January 01, 2024 - Response Frequency Percent Ordered Labs 630 50.16% Stopped a Drug 185 14.73% Changed Dosage 174 13.85% Started

2674. Final Progress Report: Patient Partnerships To Improve Safety in the Clinic Setting: Creating an accurate medication list through a patient-centered approach (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/leonhardt-report.pdf
      January 01, 2024 - Thus, the two groups started with a significantly lower medication list accuracy rate in the intervention

2675. Final Progress Report: Improving Warfarin Management in Competitive Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/levett-report.pdf
      January 01, 2024 - Patient started amiodarone 2 weeks prior to high INR and did not notify the CAT clinic.

2676. From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
      February 09, 2005 - Anti-coagulation pharmacists routinely review the hospital charts of the vast majority of inpatients started

2677. Development of a Comprehensive Medical Error Ontology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
      June 16, 2008 - Identifying Source Ontologies Identification of source ontologies started with a literature review using

2678. Creating an Accurate Medication List in the Outpatient Setting Through a Patient-Centered Approach (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Leonhardt_35.pdf
      March 15, 2008 - Thus, when the project started, the intervention sites began with a significantly lower medication list

2679. An Organizational Guide to Building Health Services Research Capacity (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/hsrguide/hsrguide.pdf
      October 01, 2011 - An Organizational Guide to Building Health Services Research Capacity Contract Final Report An Organizational Guide to Building Health Services Research Capacity Contract Final Report An Organizational Guide to Building Health Services Research Capacity Prepared for: Agency for Healthcare Rese…

2680. An Organizational Guide to Building Health Services Research Capacity (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/hsrguide.pdf
      October 01, 2011 - An Organizational Guide to Building Health Services Research Capacity Contract Final Report An Organizational Guide to Building Health Services Research Capacity Contract Final Report An Organizational Guide to Building Health Services Research Capacity Prepared for: Agency for Healthcare Rese…